Bologna, Sante D

Bologna, Sante D is an individual health care provider with primary practice located at 4600 Investment Dr Ste 380, Troy MI 48098-6365. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Bologna, Sante D can be contacted via phone (248) 267-5025.

Contact Information

Primary practice address
4600 Investment Dr Ste 380 Troy MI 48098-6365
Fax: (248) 267-5026
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 4301406457 Michigan

Profile Details

NPI number 1972585925
LBN Legal business name Bologna, Sante D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Feb 12th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972585925 NPPES
Michigan MEDICAID 2839447

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